Organization
DOUBLE ACE HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHONA PROBADORA DE LA ROSA (CFO)
(909) 946-3577
Entity
Organization
Contact information
Practice address
600 N MOUNTAIN AVE STE B205, UPLAND, CA 91786-4366
(909) 946-3577
Mailing address
600 N MOUNTAIN AVE STE B205, UPLAND, CA 91786-4366
(909) 946-3577
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2400879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2506037
—
CA
Enumeration date
08/08/2006
Last updated
08/22/2020
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